• Community Academy Application

    Lacey Police Department
    Community Academy Application
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Please answer truthfully and provide additional comments, if necessary

  • 1. Do you have any Criminal or Felony Convictions in the last 10 years?*
  • 2. Have you had 3 or more contacts with law enforcement in the last 10 years, in which you were listed as a suspect?*
  • 3. Are you listed or involved in any active criminal investigation as of the date of this application?*
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  • PERMISSION TO CONDUCT A RECORD CHECK

    As an applicant for the Lacey Police Department Community Academy, I hereby authorize the Lacey Police Departmnet to conduct a criminal history records check. All applications for the Community Academy shall be reviewed on a case by case basis. This information is intended to be used as guidelines for those within the Lacey Police Department who are tasked with reviewing Community Academy applications. 

    All information is to remain confidential as required by Washington and federal statues.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
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